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52396 Medicine

A 62-year-old man develops scaling and non-scaling patches, and plaques over his chest and back. They are itchy, but not painful. The rest of the examination is normal, except for lymphadenopathy. Examinations of the blood film and skin biopsy histology, both, reveal unusually large monocytoid cells. (See Figure below) Which of the following is the most likely diagnosis?

Aleukemia
Bvisceral B-cell lymphoma
Cprimary cutaneous T-cell lymphoma
Dviral infection (usually Epstein-Barr)
Medicine
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